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<br /> MO'PICE OF DE�D RESTRICTIONS: Th�undecsigr.iedwunder�tands�;th�t:_this.�p�rmit.may.be.subject,to,"deed".,,re,s�rictions".�,:. .Y.- � ,.
<br /> which m�y`be:�mor�°restfict�ve�tha�Count��iegr�latlo�s:`�Th��unde�slgned�assume�=re`sponsltiility:for"compBiance�writh any �-� �
<br /> appiicable deed restrictlon�. .. _,. .�...: ..1-. - � _. --.--._. •� ;^ . - �
<br /> UNLICENSED� CONTRACTOitS AND COOV�l�►C7'OR�RESPON�B�ILIYIES: �°ff fhe�owner has��hirecl"��'con�ractor or
<br /> eontractors to undertake work, tft�y may:.b,e.�ceJqulred��to::be;ltcensed In.accordanc�.with..state.and�local regulatlo.ns. If the�� ° ��--
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<br /> contractor Es not IQcensed as requlced<tiy law, botFi•�he owner_ared��conU�ctor°�m�y be�cited�#or��-misdemeanor violatlon
<br /> ur�der state law. if the owner or Intended;�;contractor:ere:�uncertaln as to whaf Ilcenaing.,requiroments;�may�:appCy:for:the�.��� �
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<br /> int�nded work, they are advised to cont�ct ttie�Pascv County�uilding'Inspection D(vislon,,-Ltcensing Sectton et 727-�47-
<br /> 8908. FurtFiermore, If the owner'has"lil�ed�a cont�actor or conteactors, he 9s advi�ed to hav�;the contcactoc(s),,sign ,,._, .,:
<br /> po�tions of the°contractor Block° vf this�ppllcatlon.fior�which-they-vvlll,.be�r.e�p.onslble.-�If-you,:�s.the owner°�sign��as°ttie�''� ��
<br /> contractor, that�may`be an indication theY'he is'nof.properly lia:en�ed"and�is-not eiiti8ed to perreiftting�priulleges In Pasco
<br /> County. ; . _._.,,..
<br /> TRAIVSPORTAT�ON=INIPACT/UTILITIE���MPAC7�A(�b�ttE�OIJRCE itECOVERY�FEES: The undersigned under�tands
<br /> 4hat Transportation Impac�Feas�and.Reco.urse.Recovery_Fees m�y'�apply:to�tf��,constre�ction,.of new_buildtngs,�change of"''� ��• �
<br /> u�e in exis@ing butidir�gs, or��.exp�nsi�n�o���zi"stin�;tbu�iiiflr�gs, as�pec�ied.in P�sco County Opdt�ance number�9-07 and.
<br /> 90-07, as a�mended....;The undetsigned �Iso:urtd�rsta[�ds, that'such fees;;as�rr�ay;die�,due;;;wllE��tie tdentifted at the`timeaof�� � �_
<br /> permikting. It Is fu'�tFier understood that Tra�isportatlon impacf`"Fe�s an�`�Resource:;Recovs�ia�Fees.mu�t be pald priA�to �
<br /> Pec�Evtng-a_°certi�cate:of occupancy" or 61�a1�power;,releas�: :I��the.proj�ct:,do�s<not Involve:a::certificate of occupancy°or��=�������� -�
<br /> firral power r�lease; th�.f�eg-mu�t"be patd;pr�or to.,aermit ts�uance. Fy�thermore,'�if:Pa�co.,C.ounty"INater/$ew�r_�;lmpact , �-
<br /> fees are due,.they_must�be�peld.,prlor#o.permit;Issuanee=.In,accoriia,nce-ailtF�=appllcable:Pasco�.County�ordtnances. �
<br /> COMSTRUCTION�LIEN�LAW'(Ch�pter 713� Florlsl��t�tut��,�s am�nd�d): If daluadon of work is�2,500.00�oc mor�, 1�� � :� ,.
<br /> certify that I, �he:-appllcant, hav�--beer�, provld�d�wflh=�a=copy-vf��the �°Elorida=�onstnictton:=Lien .L�w—Homeowner's
<br /> I Protection Gutde" prepared by the Flo�ida Departmea�t�of Agric.ulture and Consurro�r�.Aifairs. If the appllcant Is someone�. -
<br /> other than th�"owner", i certiry.th�t;l,,h�v.e...ob,tain�d-��copy.of.the'sabpve,.a��scrlbed�docur�ent;and;promise;la�,good:faith,to . .
<br /> de9iver it to.the:`.owner"'piior`to�commePic��ent:'' � � - � � � " � ,
<br /> CONTRACYOQt'SlOVIINER'�A�FIDANI4: I.certify;:tti:af,�ll th��lnformation.i��thl�applicatlon is accurate and that all work
<br /> will�be done in compli�nce w►ith ail applicable laws r�gulating construction, zontng and��land�development. Application is
<br /> h�reby mad� to obtain .a .permi!:Co .do.,,-w�rk tiand liistatlatlon �� indi�ated:.>•-�1� certify that no work=.or instaliatdon fias
<br /> commenced p�lor to issuance of a permif and that.�ll wark will b� per�ormed to meet.standards�-of all laws regulaking�
<br /> const�uction, County and City codes, zoning regula4l�ns, and land deveiopmend regulattons�in the .jur(sdictlon.- I ai'so
<br /> cerQlfy th�t I understand dhat the regulations of o�her gov�rnment agencies may�apply to the..Ontended work, and that it is
<br /> my responstbility�to identlfy�what.acBons I must�4ake:to be=ln:.c�mpltanca.tSuch.,ag�ncie�include�but�-are.not Ilmit�d to:
<br /> - Department of Environmental'Protecfton�Cypress.�Bayhead�, �!leH�nd Areas and Envtronmentally Sensitive
<br /> Lands,WatedlNasternrater Treatmenta
<br /> - Southwest Florida Water ManagemenQ ,C�istrict-Wells;' Cypress.Y�Bay�eads;- VVetland �lreas, Altering
<br /> V�atercourses. �
<br /> � a•- Army Corps of Engineers-Seawralls, Dock:s, Navigable�ilaterways.
<br /> - Department of.H�alth::.�,.ReFrabilftative .�ec�iEces/Envtronmenfal-,H�alth Unit=Well.s, Wastewrater�Treatment,
<br /> Septic Tanks.. ' � ,
<br /> - US Envlronment�9 f'rotectlon Agency�A�b�esQo��batement.
<br /> - Federal Avlation:Authotity-Runway�.
<br /> 0 understand.that the..follo�v�ng:�estcictions apply�to the a�s�of flll:•
<br /> - llse of flil Is not allowed in'Flood;Zone"Vp unless expressly p�rav�itted.
<br /> - If the_flll- mat�ri�l-is to �b.e cosed:.In.•Flood Zone. "A", It Is underet6od that a drainag� plan addresstng a
<br /> °compensating volum�" will b� submitted at time of:permi�ing whlch ts prep�red by a prof�ssional engineer
<br /> Ilcens�d by the State qf Flofida. - .
<br /> - tf ih� flll-mat�rlal=is to be used in Flood Zone 'A" in5 connec�ion�vui#h�a�permitted building using stem wall
<br /> � construct(on, I ce�tify that flll•.wllt�•be�used only.to.fill the area wlthln the��te�n wali.
<br /> - If flll reiate�lal �s to be used ln any �reEi, F�certify that .use of�such flll wlll not adversely aflfect adJacent
<br /> properties. If.use of flll is fot�nd�4o adv.eroely:�ffect adJ�cent��:propertles,.the owner may be cited for vioCating
<br /> the cond(#Ions.of the bullding�;permit Issu�d.under the:atfacfied.�{�ermit..�ppllcatdon;�for:lots.less than.one (1)
<br /> � acre which are elevated�6y flll, a�r englne�aed drainag�plan Is r�quired. . •�
<br /> If 0�m the.AGENT.�OR TH�OWNER, I;.promise in gvod falth to Inform the owner of�the permitting condftions s�t forth In
<br /> this affidav(t prior to comm�ncing construction. "i undr�rst�nd that a eepar�t�.permit may be requtred for electric�l:work,
<br /> pluenbi►eg,•..signs, wells.,:poot�;. alr cqndit(onir�g,..gas, or oth�r: Insfall�tfdns not�spec�lcally included�in the�a�pplication. .A
<br /> permit Issued shall be conshued to=tie a�license'to prciceed with the;work and_not�as:.�uthority�to:.violat��:cancel, alter, or
<br /> s�t aslde'any provisions of�the.technical.codes,;:nor shall Issuance�of a.perrrolt.prevent the Bulldirig Offlclal froin lhereafter �
<br /> requfring a cocrection af��rors in�,plans; consfruction.o�vlolatlons of���ny codes. :Every�-p�ertnit�lssued`shall�becom�invalid
<br /> unless the work authorized�by such permlt:�ts.commeruced•with(n sGc�months of�permOt I�suance, or if work authorfzed by
<br />' 4he permit is suspended�or,abandoned:�f.or:a�;period;of�ix,f�)montTis.afte�the time the�work�is commenc�d. An extension
<br /> rnay be reque�t�d,_in_writleig;;:from.the.Building Offlcl�l�for� erlod.:root-to exceed`�riine ���90 "d`a s and�-veilll�detnonstrate
<br /> P tY� ) y
<br />' justifiable cause for.�the extension. If work-ceases:for ninety(90)cons.ecutiv��days...th�job�ls.consldered aba�doned.
<br /> IP�ARNIPIG TO OWt�ER: vOliR.,�AILiJRE:M1T�.R�E.C.��tD:A.,(�OYIG��:.OF�COMIN�NCENIEMT II�AY.:RESUL:T IN-YOLiR
<br /> PI4YING TYVICE;FOR IMPROVEMEPl1'S;?['O,:YOUi.�<P�OPERT�1f:�:1��:YO.U�1�'��VD�T�'b�T/AIN•�FIN�ApE1NG;'C.ON3ULT
<br /> lMIT D �f�ATfO N �.� OR��,� . OR�7 �.�� O , ��� .; °�:
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<br /> FLORIDA JURA��(F:S:�1.1 .. 3} � �- � • • '
<br /> OtNNER OR A8 • f COPITRACYO , � �n
<br /> Subscrlbed and o(or eflirtn b me th�s_ � Subscribed wom� (of afA ed)� ' i+e �i�.
<br /> by - ' ..,�by� , �' y J� .
<br /> Who Islare p _,one71 y,known to.me.or,has/have,produced Who.is/a b.ersonel own M;me:or haalh�ve�produced �
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<br /> l � � � as IdentlBcatlpn. � _� as identlficatlon.
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<br /> �� btery Public _ � .�'} ''�,,, J C � " blic
<br /> / =►: ';,.`_ Co mission# 50422
<br /> Co m slon y6:' C�r�aslon.No. ';a� '
<br /> (/ � �''�cF��°�`e` 3oaded Tlw Troy Fain Insurance 800-385-7019
<br /> ��� in �
<br /> Name o/Notary �BOGES Pdame ot t�olary typed,pdnted or atamped
<br /> , ;�� ommission#FF 150422
<br /> •ti�' Epeires December 12;2018
<br /> "°��� � Lkdr��.i Thu Trey Fan I� _
<br /> . . �0385-7019
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